Individual provider Active NPI

Leonardo R Rodriguez-Cruz, M.D.

  • Neurological Surgery Physician
  • Knoxville, TN
National Provider Identifier
1598744484
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
34193 Issued in TN
Practice address
9314 Park West Blvd Ste 200
Knoxville, TN 37923-4344
Phone
(865) 524-1869
Fax
(865) 544-6533
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 34193 TN Primary

Addresses

Primary practice location

9314 Park West Blvd Ste 200
Knoxville, TN 37923-4344

Mailing address

9314 Park West Blvd Ste 200
Knoxville, TN 37923-4344
Phone (865) 524-1869

Other practice location 1

1932 Alcoa Hwy Ste 360
Knoxville, TN 37920-1509
Phone (865) 524-1869

Other practice location 2

1645 S Main St Ste 101
Crossville, TN 38555-5998
Phone (865) 524-1869

Other identifiers 1

IdentifierTypeStateIssuer
Q013110MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110303000266 TN Practitioner - Neurosurgery 5395827372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
JS Weill Medical College, Cornell University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates PCGroup PAC ID 6002888716, 46 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite 360
Knoxville, TN 37920-1509
Phone (865) 524-1869

Hospital & facility affiliations

  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion128
Laminectomy or laminotomy (partial removal of spine bones)47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34193TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, PC Neurological Surgery CurrentSince Mar 1, 2019 Accepting new patients
Parkwest Medical Center Past Accepting new patients

Locations

1645 S Main St
Ste 101
Crossville, TN 38555
Phone (931) 484-7531

9314 Park West Blvd
Ste 200
Knoxville, TN 37923
Phone (865) 694-0577

1932 Alcoa Hwy
Ste 360
Knoxville, TN 37920
Phone (865) 546-2663

Interoperability endpoints

  • Direct secure messaging: leonardorodriguez-cruz@neurosurge.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1598744484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 PARK WEST BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234344",
            "telephone_number": "865-524-1869",
            "fax_number": "865-544-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 PARK WEST BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234344",
            "telephone_number": "865-524-1869",
            "fax_number": "865-544-6533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1932 Alcoa Hwy Ste 360",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201509",
            "country_code": "US",
            "telephone_number": "865-524-1869",
            "fax_number": "865-544-6533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1645 S Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385555998",
            "country_code": "US",
            "telephone_number": "865-524-1869",
            "fax_number": "865-544-6533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-CRUZ",
        "first_name": "LEONARDO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "34193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013110",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.